| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $974.00 | $3,221.00 | $7,123.00 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
BCBS
| Facility | $15,692.77 | $18,777.68 | $23,740.35 | |
Hally Health
| Professional | $100.00 | $345.40 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,537.00 | $6,885.00 | $14,716.00 |